health finance
Sheet1
| GHA 2 Template | |||||||
| INDICATE ANSWER WITH AN "X" | |||||||
| INDICATE ICU or LAB | MEDICARE | MEDICAID | OTHER PUBLIC PROGRAMS | PATIENTS | COMMERCIAL INSURANCE | MANAGED CARE CONTRACTS | |
| ICU stay billed to employee's insurance company | |||||||
| Lab test paid by an individual | |||||||
| Pathology work performed for the state | |||||||
| ICU stay billed to member's health plan | |||||||
| ICU stay billed for Medicare beneficiary | |||||||
| Series of allerfy tests run for eligible Medicaid beneficiary |